Interesting how all of you are jumping on blaming the Federal government and the President. This has nothing to do with Federal efforts to fight fraud nor the ACA. This is not new and is due to the contract which the patient signed with the carrier when he was insured and the lab signed when they agreed to be in network and accepted the carrier's patients. This is a private insurance matter. The lab is required to accept the rules of the insurance company when they see one of that company's insured patients.
I am a bit surprised that there would be a prohibition of a patient declining to use their insurance and pay out of pocket as you should, I would think, be able to decline to use your insurance just as you could with a car repair or home fire which might have otherwise been covered by your insurance. Keep in mind that if you go outside your insurance you will be responsible for the full charges, not the reduced charge which the carrier has negotiated with the provider. I wonder if the refusal of the lab to do the test without a denial was an error or just their internal policy.
It is possible that it is taking time to get approval as the patient's condition does not fit the criteria established by the carrier for the test to be covered even though the doctor ordered it.
By the way, threatening everyone with lawsuits is not generally a way to get them to see the wisdom of your position.
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